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    Home > Medical News > Latest Medical News > The interim measures for the management of fixed-point medical insurance for retail pharmacies make a "negative list" of violations by legal representatives at the headquarters of the drugstore chain or the simultaneous termination of the health insurance agreement for all stores

    The interim measures for the management of fixed-point medical insurance for retail pharmacies make a "negative list" of violations by legal representatives at the headquarters of the drugstore chain or the simultaneous termination of the health insurance agreement for all stores

    • Last Update: 2021-03-10
    • Source: Internet
    • Author: User
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    In accordance with the Measures, a retail pharmacy applying for medical insurance shall obtain a drug business license and meet the 7 conditions of "at least 1 pharmacist who has obtained the qualification certificate of a practicing pharmacist or has a certificate of professional and technical qualification in pharmacy, clinical pharmacy and Traditional Chinese medicine" and that the pharmacist shall sign a labor contract for more than one year at the location of the retail pharmacy and during the contract period.
    Retail pharmacies shall, at a minimum, provide a copy of the labor contract of the medical insurance professional (and) management personnel, and include the predictive analysis report of the use of the medical insurance fund after the fixed-point.
    in the management of the operation of fixed-point retail pharmacies, the Measures provide for the rights and responsibilities of fixed-point retail pharmacies.
    The Measures clearly state that fixed-point retail pharmacies shall provide drug consultation, drug safety, medical insurance drug sales, medical insurance fee settlement and other services to the insured personnel.
    -point retail pharmacies that meet the prescribed conditions may apply for inclusion in the outpatient chronic diseases and special diseases purchased by fixed-point institutions, and the relevant provisions shall be formulated separately by the medical security department of the co-ordination area.
    In addition, fixed-point retail pharmacies shall strictly implement the policy of payment for medical insurance, abide by the drug price policy formulated by the administrative department of medical insurance, upload information on the varieties, specifications, prices and expenses of the drugs purchased by the insured personnel to the participating regional operators in a timely and truthful manner as required, and regularly report to the operating agencies the "in, sale and deposit" data of the drugs in the medical insurance catalogue.
    the dynamic management of fixed-point retail pharmacies, the Measures set out a "negative list" of specific circumstances for the change, renewal, suspension and termination of agreements.
    According to the Measures, if a fixed-point retail pharmacy has one of the four situations in which "the safety of the medical security fund and the rights and interests of the insured persons may be found to pose a significant risk according to daily inspection and performance appraisal", the operator shall suspend the medical insurance agreement; In one of the 17 cases such as failure to rectify or rectify the medical insurance agreement as required during the suspension of the medical insurance agreement or during the suspension of the medical insurance agreement, such as the occurrence of a major drug quality and safety incident, the institution shall terminate the medical insurance agreement and publish to the society the list of retail pharmacies that have lifted the medical insurance agreement.
    It is worth noting that if one of the branch retail pharmacies of a chain retail pharmacy is dissolved from the medical insurance agreement due to the violation of the law by the legal representative, the head of the enterprise or the actual controller of the chain retail pharmacy chain, the same legal representative, the person in charge of the enterprise or other branch retail pharmacies of the actual controller shall also terminate the medical insurance agreement.
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